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PLUMBING PERMIT - Oshkosh, Wisconsin
Permil N~ 9891
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Plumber
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I Lot No. I : I Ward
OUTSIDE WORK
f Addition or Replal
Streel
and
Number -
Dale
NEW SEWEll WATER STORMS I F'" fEES RElAY S. SEWER WATER $IORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
I'Nm Curb 10 Building Electric Pumps From Curb 10 Building
Repa..
INSIDE WORK
110.
RIP.
FUS
USID
NO.
NEW
FEES
NEW
REP. I USED
FEES
"O.
NEW
REP.
USED
Bath Tub
L
~
R
L
/
Garbage D~_II I
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.L
~
7
L
-1.
J
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-7
I
Cúch BulDs
Wuh BuiD
DlshwBlh...
Conduclors
LaundrlUllAll
Water CIONt
Grease Calch BBlIDs
Wa.ter Sofleners
Sump Pump ill: Ejeclors
/
Sink
Water Heale..
Show.. Ba.IIu
Sanitary Bubblers
Urinals
Bar and Soda Wa.sles
noor DreIDs
I¿
Denial Cuspidors
1...
Laundry Tubs
Service Sinks
Inspec!iona
Val~l' ~ ð It:k:;:ein Described
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Received Permil and Inspeellon Fe..
-...n_------..-.nmSewer Fees
m_../_3_ð~lbg. Fees
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Fee Verified, Receipled and Recorded
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In the performance of this work Iho undersigned owner (or his authorized agent) of said premi.es and his authorired Plumber hereby agroe to be bounden by and
submit 10 all statules, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above conneclions except a. hereinaltor lisled.
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